<link rel="stylesheet" href="/static/bootstrap-select/dist/css/bootstrap-select.css">

<div id="content" class="col-lg-10 col-sm-10">
    <!-- content starts -->
    <div>
        <ul class="breadcrumb">
            <li>
                <a href="#">Home</a>
            </li>
            <li>
                <a href="#">生产企业商标认证</a>
            </li>
        </ul>
    </div>

    <div class="row">
        <div class="box col-md-12">
            <div class="box-inner">
                <div class="box-header well" data-original-title="">
                    <h2><i class="glyphicon glyphicon-edit"></i>生产企业商标认证</h2>

                    <div class="box-icon">

                        <a href="#" class="btn btn-minimize btn-round btn-default"><i
                                class="glyphicon glyphicon-chevron-up"></i></a>
                        <a href="#" class="btn btn-close btn-round btn-default"><i
                                class="glyphicon glyphicon-remove"></i></a>
                    </div>
                </div>
                <div class="box-content">
                    <div class="row">
                        <form role="form" method="post" action="/add_cert_qysb">
                            <div class="form-group">
                                <div class="col-md-12">
                                    <label class="control-label" for="Sqdw">申请单位</label>
                                    <input type="text" class="form-control" id="Sqdw" name="Sqdw" value="{{.Sqdw}}">
                                </div>

                            </div>
                            <div class="form-group">
                                <div class="col-md-12">
                                    <label class="control-label" for="Zysqcp">主要申请产品</label>
                                    <input type="text" class="form-control" id="Zysqcp" name="Zysqcp" value="{{.Zysqcp}}">
                                </div>
                            </div>
                            <div class="form-group">
                                <div class="col-md-12">
                                    <label class="control-label" for="Jyfs">经营方式</label>
                                    <input type="text" class="form-control" id="Jyfs" name="Jyfs" value="{{.Jyfs}}">
                                </div>

                            </div>
                            <div class="form-group">
                                <div class="col-md-12">
                                    <label class="control-label" for="Txdz">通讯地址</label>
                                    <input type="text" class="form-control" id="Txdz" name="Txdz" value="{{.Txdz}}">
                                </div>
                            </div>
                            <div class="form-group">
                                <div class="col-md-12">
                                    <label class="control-label" for="Lxfs">联系方式</label>
                                    <input type="text" class="form-control" id="Lxfs" name="Lxfs" value="{{.Lxfs}}">
                                </div>

                            </div>


                            <div class="form-group">
                                <p class="center col-md-5">
                                    <button type="submit" class="btn btn-primary">提  交</button>
                                </p>
                            </div>


                        </form>
                    </div>

                </div>
            </div>
        </div>
        <!--/span-->
    </div><!--/row-->


    <!-- content ends -->
</div><!--/#content.col-md-0-->


<script src="/static/bootstrap-select/dist/js/bootstrap-select.js"></script>
<script>
    function add(obj,child,parent){
        $(child).clone(true).appendTo($(parent));
    }
    function del(obj){
        obj.parentNode.parentNode.remove();
    }
</script>

<style type="text/css">
    .my_select { background: transparent;
        width: 268px;
        padding: 5px;
        font-size: 16px;
        border: 1px solid #ccc;
        height: 34px;
        -webkit-appearance: none; /*for chrome*/
    }
</style>